HomeMy WebLinkAbout2002-HVAC /L', CITY OF OSHKOSH No 92390
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3875 WOOD DUCK CT Owner W W FIELD HOMES Create Date 12/14/2001
Contractor AIR TECH HEATING INC Category 500-Residential-Heating&Ventilating Plan
Fuel " Gal� s '�� ` Oil - '� � E�-� �- �� ��, Solar � ' Solid �� � �
—�
System �' New �,J Replace ._ Lj Olher
._...— _._ __ . . . __. _. .. ..
✓ ForcedAir J Radiant Steam i A/C �, I__ Vent i
Electric Hot Water SuppL � j Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0 ��
BTU Rate As Per Plan Variable Other � Value
Use/Nature NSPR/HVAC Installation �� —- - �-�-�� --- -��--�� � ----�
ofWork i
I I
Fees: Valuation $7,015.00 Plan Approval $0.00 Permit Fee Paid 5111.50
Issued By: �� Date 01/28/2002
'� Permit Voided
In the pertormance of this work, 1 agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenVOwner
Address 1305 A INDUSTRIAL PARKWAY FOND DU LAC WI 54937 -2208 Telephone Number (920)924-6742
O Division of Inspection Services
� 215 Church Avenue
P.O. Box 1130
� u Oshkosh, WI 54903-1130
ONIrEwnIEP� � Fa�c # (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATS / -��, G�',
JOB ADDRSSS _ _ .,�� 7S (�1Q�"D 0C1C/� LC'sCll(,T
owxsR GUiNF�FLD C�:��C�n1 h4v�n��
CONTRACTOR /�(/C T:-_CH l��/� 1 //�G /ti �-
CIRCLB ALL APPLICABL&
USS CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY CONIMERCIAL INDUSTRIAL
FIIBL j GAS OIL ELECTRIC SOLAR SOLID
�._
SYSTEM ; NEW REPLACE OTHER
TYPB �FORCED AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY 88ING LINBD �'� LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU�s being vented.
CHIMNSY TYPE CHIMNEY A CHII�II�IEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTII RATB AS PER PLAN VARIABLE OTHER VALUE
NATIIRE OF WORK: H ��f�� /NS;FILLf�i�p�l
VALIIB (Including labor and materials) $ 7 n�5. (?C
SLSCTRICPs. CONTR�CTOR
Electrical inatallation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1, 000 . 00........_...._......._._...._..................._.................-----........_._._....__._...._._.........._._._..$20 .00
$1,000 . O1 to $10,000 .00........_._._._._...._._...._........----•---........_.......-•-...._._._._._._...._........520 .00 for first
$1, 000 . 00 plus $1 .50 per $100 . 0o valuation or part thereof
$10, 000. 01 to $25, 000 . 00...........................................................--�--......_............._...._.......».....$155. 00 for first
$10, 000 . 00 plus $1 . 00 per $100 . 00 valuation or part thereof
Over $25, 000. 00.._...._._...._....».__........_....---•.................._._.....-.----........._._._._--•---.___._._........$305 .00 plus $0 .50
per $100 .00 valuation or; part thereof
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100 .00 plus the normal permit fee, which ever is
greater.
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